Shanequa Hambrick, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03583 Issued in TX

Practice address

2737 S Broadway Ave
Tyler, TX 75701

Phone

(903) 592-6000

Fax

(903) 592-3224

NPI assigned

Aug 31, 2005

Last updated

Feb 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Pain Relief Group PLLCGroup PAC ID 2668603952, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shambrick355674@ahs.direct-ci.com
• Direct secure messaging: shanequa.hambrick.p1@direct.precisionspinecare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Pain Relief Group PLLC

  • Interventional Pain Medicine Physician
  • Hurst, TX
  • NPI 1003246299
  Medicare reassignment Care Compare group
• Charles R Gordon MD PA

  dba Precision Spine Care

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1982717955
  Medicare reassignment NPD
• Dallas Pain Institute

  dba Texoma Anesthesia

  • Interventional Pain Medicine Physician
  • Rowlett, TX
  • NPI 1194308601
  Medicare reassignment NPD
• Charles R Gordon MD PA

  dba Precision Spine Care

  • Interventional Pain Medicine Physician
  • Lufkin, TX
  • NPI 1720513328
  NPD
• Dallas Pain Institute

  • Durable Medical Equipment & Medical Supplies
  • Greenville, TX
  • NPI 1821971698
  NPD
• Texas Pain Relief Group, PLLC

  dba Florida Pain Relief Group

  • Interventional Pain Medicine Physician
  • Tampa, FL
  • NPI 1487028387
  NPD
• Claire Tibiletti MD PA

  • Interventional Pain Medicine Physician
  • Tyler, TX
  • NPI 1992922033
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1760475180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6605",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116605",
            "telephone_number": "903-592-6000",
            "fax_number": "903-592-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-592-6000",
            "fax_number": "903-592-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Roseland Blvd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757014234",
            "country_code": "US",
            "telephone_number": "903-531-2500",
            "fax_number": "903-595-3785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBRICK",
        "first_name": "SHANEQUA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Kay Hall, DO
• Victoria G Hall
• Katherine Ann Hallman
• Michelle Haltom
• Mohammed Hamandi
• Andrew L Hamby, MD
• Hannah Marie Hames
• Awab A Hamid, MD
• Andrew Eric Hamilton, OD
• Kate Makenna Hamilton, MA, CF-SLP

• Medical Physician Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.